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Foot and Ankle Surgery

While standing, walking, or running, your foot and ankle provide you the support, shock absorption, balance, and other functions that you need for motion. There are over 100 types of arthritis, many of these affect the foot and ankle. All types can make it difficult to walk and perform activities you enjoy. Ankle arthritis is usually caused by osteoarthritis. This is where the cartilage covering the ends of your bones gradually roughens and becomes thin, and the bone underneath thickens. It can also be caused by damage from other rheumatic conditions, for example if you have rheumatoid arthritis, or if you’ve had a previous injury to the area. This leads to pain, swelling and occasional deformity of the joint. You may need foot or ankle surgery if your symptoms are severe.

Signs you should see your doctor:

  • Pain with motion
  • Pain that flares up with vigorous activity
  • Tenderness when pressure is applied to the joint
  • Joint swelling, warmth, and redness
  • Increased pain and swelling in the morning, or after sitting or resting
  • Difficulty in walking due to any of the above symptoms

Ankle replacement is recommended to patients who have:

  • Advanced arthritis of the ankle
  • Arthritis that has destroyed the joint surfaces
  • Ankle pain that interferes with daily activities

The decision to have foot or ankle surgery is a complex one, as recovering from foot or ankle surgery could require non-weight bearing on the involved extremity for up to several months, followed by a short period of time in a walking cast. Driving and employment limitations may affect your normal lifestyle significantly. However, surgery does provide acceptable pain relief and return to function, and is especially useful for treating conditions that have not responded to non-surgical methods, especially when there is bone, joint, ligament or tendon damage.

Arthroscopy is a surgical procedure during which the internal structure of a joint is examined for diagnosis and treatment of problems inside the joint.

Arthroscopic examination of joints is helpful in diagnosis and treatment of the following conditions:

Inflammation: Synovitis, the inflammation of the lining of the Shoulder, Elbow, Hand and Wrist. Acute or chronic injury: Injuries to the Shoulder, Knee and Wrist joint such as cartilage tears, tendon tears, carpal tunnel syndrome.

Osteoarthritis: A type of arthritis caused by cartilage loss in a joint. Removal of loose bodies of bone or cartilage that becomes logged within the joint.

During arthroscopic surgery, general, spinal, or a local anesthesia will be given depending on the condition. A small incision of the size of a buttonhole is made through which the arthroscope is inserted. Other accessory incisions will be made through which specially designed instruments are inserted. After the procedure is completed, arthroscope is removed and incisions are closed.

It may take several weeks for the puncture wounds to heal and the joint to recover completely. A rehabilitation program may be advised for a speedy recovery of normal joint function. You can resume normal activities and go back to work within a few days. You may be instructed about the incision care, activities to be avoided, and exercises to be performed for faster recovery.


NASA Bone & Joint is a Board Certified Orthopedic Center. Our two physicians, Dr. O’Neill and Dr. Monmouth are both board certified in general orthopedics. Dr. O’Neill is also certified in sports medicine. Both doctors trained at Harvard and have been practicing orthopedics in the Nassau Bay area for 25 years.

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Phone: 281-333-5114


Address: 16840 Buccaneer Suite 100 Houston, Texas 77058

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